Prognosis and Outcomes of Pneumolabyrinth Following an Otic-Capsule Violating Fracture: A Case Report | ||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||
| Article 6, Volume 20, Issue 1, March 2019, Pages 31-34 PDF (757.8 K) | ||
| Document Type: Case report | ||
| DOI: 10.21608/ejentas.2019.6066.1058 | ||
| Authors | ||
| Norah Salem Alajmi* 1; Abdullah Arafat2; Yazeed Aloqaili2 | ||
| 1King Saud bin Abdulaziz University for Health Science | ||
| 2Otolaryngology Head & Neck Surgery Department King Abdulaziz Medical City, Saudi Arabia | ||
| Abstract | ||
| Background: Pneumolabyrinth consequent to a temporal bone fracture is a rare entity. It occurs when air enters the vestibulocochlear system due to a pathological communication between the middle and the inner ears. The diagnosis is usually confirmed radiologically using high-resolution computed tomography imaging. Pneumolabyrinth is categorized radiologically as follows: vestibular pneumolabyrinth, cochlear pneumolabyrinth and combined pneumolabyrinth. Case Presentation: We herein describe the clinical presentation and management of pneumolabyrinth in a 43-year-old man, following an otic capsule-violating temporal bone fracture. After initially caring for the patient conservatively, without improvement, surgical intervention was undertaken. Unfortunately, hearing was irrecoverable. Conclusion: Delaying medical and surgical intervention and the location of the air bubbles associated with the combined type contribute to the irrecoverable loss of hearing. As otic capsule-violating fractures might not be observed initially on brain CT scans, high-resolution and thin-slice CT scans of the temporal bone is crucial when suspecting temporal bone fracture. | ||
| Keywords | ||
| Hearing loss; otic capsule fracture; pneumolabyrinth; vestibular symptoms | ||
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